ATI LPN
Medical Surgical Nursing Neurological Disorders Quizlet Questions
Question 1 of 5
While performing a neurovascular assessment distal to a client’s fracture site, the nurse determines that the client’s pulse is present, regular, and full. Which nursing action should be taken next?
Correct Answer: D
Rationale: Normal pulse is reassuring, but full neurovascular check (color, sensation, pain, movement) ensures no compromise. B follows D. [Level: Application]
Question 2 of 5
The ESR (sedimentation rate) of a client being treated with corticosteroids for rheumatoid arthritis has decreased. Which explanation should the nurse provide the client to explain this change in lab values?
Correct Answer: C
Rationale: Decreased ESR indicates reduced inflammation, suggesting corticosteroid efficacy. D is possible but less definitive. [Level: Application]
Question 3 of 5
A patient admitted with possible stroke has been aphasic for 3 hours and has a current blood pressure (BP) of 174/94 mm Hg. Which order by the health care provider should the nurse question?
Correct Answer: C
Rationale: High BP in ischemic stroke is initially tolerated; aggressive lowering (labetalol) risks reducing cerebral perfusion pre-tPA. Others are standard. [Level: Analysis]
Question 4 of 5
A patient in the emergency department with sudden-onset right-sided weakness is diagnosed with an intracerebral hemorrhage. Which information about the patient is most important to communicate to the health care provider?
Correct Answer: D
Rationale: Warfarin increases bleeding risk in hemorrhage, critical to manage. Others are expected or less urgent. [Level: Analysis]
Question 5 of 5
A RN is measuring the BP of a hypertensive obese pt who has been admitted to the hospital for increased BG levels. While the pt is speaking, the RN notes that the pt has suddenly started mumbling and is unable to articulate words. Which action would the nurse take?
Correct Answer: B
Rationale: Sudden speech change suggests stroke; immediate HCP notification is critical. A/C delay, D is part of assessment. [Level: Analysis]